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Novel nervous and multi-system regenerative therapeutic strategies for diabetes mellitus with mTOR 被引量:14
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作者 Kenneth Maiese 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第3期372-385,共14页
Throughout the globe,diabetes mellitus(DM) is increasing in incidence with limited therapies presently available to prevent or resolve the significant complications of this disorder.DM impacts multiple organs and af... Throughout the globe,diabetes mellitus(DM) is increasing in incidence with limited therapies presently available to prevent or resolve the significant complications of this disorder.DM impacts multiple organs and affects all components of the central and peripheral nervous systems that can range from dementia to diabetic neuropathy.The mechanistic target of rapamycin(m TOR) is a promising agent for the development of novel regenerative strategies for the treatment of DM.m TOR and its related signaling pathways impact multiple metabolic parameters that include cellular metabolic homeostasis,insulin resistance,insulin secretion,stem cell proliferation and differentiation,pancreatic β-cell function,and programmed cell death with apoptosis and autophagy.m TOR is central element for the protein complexes m TOR Complex 1(m TORC1) and m TOR Complex 2(m TORC2) and is a critical component for a number of signaling pathways that involve phosphoinositide 3-kinase(PI 3-K),protein kinase B(Akt),AMP activated protein kinase(AMPK),silent mating type information regulation 2 homolog 1(Saccharomyces cerevisiae)(SIRT1),Wnt1 inducible signaling pathway protein 1(WISP1),and growth factors.As a result,m TOR represents an exciting target to offer new clinical avenues for the treatment of DM and the complications of this disease.Future studies directed to elucidate the delicate balance m TOR holds over cellular metabolism and the impact of its broad signaling pathways should foster the translation of these targets into effective clinical regimens for DM. 展开更多
关键词 Akt AMP activated protein kinase(AMPK) apoptosis Alzheimers disease autophagy β-cell cancer cardiovascular disease caspase CCN family diabetes mellitus epidermal growth factor erythropoietin fibroblast growth factor forkhead transcription factors Fox O FRAP1 hamartin(tuberous sclerosis 1)/tuberin(tuberous sclerosis 2)(TSC1/TSC2) insulin mechanistic target of rapamycin(mTOR) m TOR Complex 1(m T ORC1) m TOR Complex 2(m TORC2) nicotinamide nicotinamide adenine dinucleotide(NAD%PLUS%) non-communicable diseases oxidative stress phosphoinositide 3-kinase(PI 3-K) programmed cell death silent mating type information regulation 2 homolog 1(Saccharomyces cerevisiae)(SIRT1) sirtuin stem cells wingless Wnt Wnt1 inducible signaling pathway protein 1(WISP1)
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彭水水电站碾压混凝土重力坝温控防裂研究 被引量:2
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作者 刘杏红 常晓林 周伟 《贵州水力发电》 2005年第2期37-41,共5页
用三维瞬态有限元方法模拟碾压混凝土实际成层浇筑过程, 仿真分析了彭水水电站整体大坝施工期的温度场和应力场, 比较了不同的施工温度控制方案对混凝土早期最高温度及温度应力的影响, 并提出了合理的浇筑方案和温度控制措施。整体仿真... 用三维瞬态有限元方法模拟碾压混凝土实际成层浇筑过程, 仿真分析了彭水水电站整体大坝施工期的温度场和应力场, 比较了不同的施工温度控制方案对混凝土早期最高温度及温度应力的影响, 并提出了合理的浇筑方案和温度控制措施。整体仿真结果表明, 设计拟定的坝体横缝的分缝位置是合理的, 在坝段的中部设置诱导缝后坝段中部区域的拉应力得到了明显地释放。 展开更多
关键词 仿 仿
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细胞因子联合人参皂甙及三氧化二砷诱导HL-60细胞向树突状细胞分化的实验研究 被引量:5
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作者 方美云 王忠裕 王一 《实用癌症杂志》 2005年第1期15-19,共5页
目的 研究HL- 60细胞在体外经细胞因子联合人参皂甙及三氧化二砷(AS2 O3 )诱导向树突状细胞(DC )分化的情况。方法 选用HL 60细胞与重组人粒单核细胞集落刺激因子(rh -GM - CSF)、白细胞介素- 4(I-L 4)、γ干扰素(INF γ)、TSPG及AS2 ... 目的 研究HL- 60细胞在体外经细胞因子联合人参皂甙及三氧化二砷(AS2 O3 )诱导向树突状细胞(DC )分化的情况。方法 选用HL 60细胞与重组人粒单核细胞集落刺激因子(rh -GM - CSF)、白细胞介素- 4(I-L 4)、γ干扰素(INF γ)、TSPG及AS2 O3 共培养。根据细胞因子、TSPG及AS2 O3 不同组合分为12组。在培养后7天及14天以光学和电子显微镜观察细胞的形态学特征,用HLA- DR、CD- 1a、CD86等五种单克隆抗体标记流式细胞术检测细胞表型,用ELISA法测定HL- 60 - DC培养上清液中的IL- 12及INF γ的量,培养14天后的细胞再继续以1∶10的比例与HL 60细胞共培养2 4h ,观察HL- 60 - DC对白血病细胞的杀伤情况,用流式细胞仪检测凋亡率。结果 HL 60细胞在组合细胞因子并分别加入TSPG及AS2 O3 后,均可诱生出不同比例的DC。光镜及电镜下均有典型的树突状细胞的形态学特征,细胞表达DC的表面分化抗原,诱生的DC培养上清中可测出不同量的IL- 12及INF- γ。细胞凋亡率均明显高于对照组,联合中药各组的凋亡率均高于GM CSF与IL 4组。结论 ①GM - CSF、IL- 4与HL 60细胞共培养可诱导出HL 60- DC ,在此基础上加入适当浓度的TSPG、AS2 O3 可使树突状细胞的特异性抗原表达加强。②在DC诱生过程中,GM - CSF联合IL -4组DC特异性抗原表? 展开更多
关键词 HL-60 INF-γ AS2O3 IL-12 IL-4 HLA-DR ELISA GM-CSF
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血管内皮生长因子A靶向调控血管化治疗激素性股骨头坏死的机制 被引量:4
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作者 王正业 刘万林 赵振群 《中国组织工程研究》 北大核心 2026年第3期671-679,共9页
背景:激素诱导的股骨头坏死是一种严重的骨科疾病,其特征是股骨头血供中断和软骨下骨坏死,最终导致关节功能障碍。长期使用糖皮质激素是激素性股骨头坏死的主要诱因,其病理机制涉及多个因素,包括血管内凝血和骨细胞凋亡等。血管内皮生... 背景:激素诱导的股骨头坏死是一种严重的骨科疾病,其特征是股骨头血供中断和软骨下骨坏死,最终导致关节功能障碍。长期使用糖皮质激素是激素性股骨头坏死的主要诱因,其病理机制涉及多个因素,包括血管内凝血和骨细胞凋亡等。血管内皮生长因子A作为关键的血管生成因子,在激素诱性股骨头坏死的治疗中具有潜在价值。目的:总结血管内皮生长因子A在激素性股骨头坏死中的作用机制,包括它在促进血管生成、抗凋亡以及调节脂质代谢等方面的研究进展,并讨论血管内皮生长因子A靶向治疗的临床应用前景。方法:通过检索PubMed、中国知网、万方数据库及维普数据库建库至2024年11月发表的文献,筛选出与血管内皮生长因子A靶向调控血管化治疗激素性股骨头坏死相关的文献。经过质量评估,共筛选出71篇文献,由独立的研究者提取数据,并通过小组讨论解决分歧。结果与结论:①血管内皮生长因子A通过与其受体内皮生长因子受体1,2结合,激活下游信号通路,促进血管内皮细胞的增殖、迁移和血管生成,因此它能促进侧支循环的形成,改善骨坏死区域的血液供应;②血管内皮生长因子A的表达降低可能导致骨组织内血管数量减少,加剧股骨头的缺血状态;此外,血管内皮生长因子A具有抗凋亡作用,能够减少骨细胞和骨髓细胞的凋亡,从而保护骨组织;③血管内皮生长因子A在调节脂质代谢和炎症反应中的作用及促进骨髓间充质干细胞的成骨分化,为激素诱导的股骨头坏死的治疗提供了新的视角;④血管内皮生长因子A蛋白递送系统的开发,如脂质纳米粒和基于外泌体的递送系统,为血管内皮生长因子A的临床应用提供了新的可能性;⑤血管内皮生长因子A在激素性股骨头坏死治疗中的研究进展为开发新的治疗策略提供了坚实的基础,并为未来的研究方向和临床应用开辟了新的道路;⑥随着对血管内皮生长因子A作用机制的进一步阐明和递送技术的不断进步,将为激素诱导的股骨头坏死患者提供更有效的治疗方法,改善其预后。 展开更多
关键词 A 3 /B
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Modified constraint-induced movement therapy alters synaptic plasticity of rat contralateral hippocampus following middle cerebral artery occlusion 被引量:23
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作者 Bei-Yao Gao Dong-Sheng Xu +6 位作者 Pei-Le Liu Ce Li Liang Du Yan Hua Jian Hu Jia-Yun Hou Yu-Long Bai 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第6期1045-1057,共13页
Modified constraint-induced movement therapy is an effective treatment for neurological and motor impairments in patients with stroke by increasing the use of their affected limb and limiting the contralateral limb.Ho... Modified constraint-induced movement therapy is an effective treatment for neurological and motor impairments in patients with stroke by increasing the use of their affected limb and limiting the contralateral limb.However,the molecular mechanism underlying its efficacy remains unclear.In this study,a middle cerebral artery occlusion(MCAO)rat model was produced by the suture method.Rats received modified constraint-induced movement therapy 1 hour a day for 14 consecutive days,starting from the 7^th day after middle cerebral artery occlusion.Day 1 of treatment lasted for 10 minutes at 2r/min,day 2 for 20 minutes at 2 r/min,and from day 3 onward for 20 minutes at 4 r/min.CatWalk gait analysis,adhesive removal test,and Y-maze test were used to investigate motor function,sensory function as well as cognitive function in rodent animals from the 1st day before MCAO to the 21^st day after MCAO.On the 21^st day after MCAO,the neurotransmitter receptor-related genes from both contralateral and ipsilateral hippocampi were tested by micro-array and then verified by western blot assay.The glutamate related receptor was shown by transmission electron microscopy and the glutamate content was determined by high-performance liquid chromatography.The results of behavior tests showed that modified constraint-induced movement therapy promoted motor and sensory functional recovery in the middle cerebral artery-occluded rats,but had no effect on cognitive function.The modified constraint-induced movement therapy upregulated the expression of glutamate ionotropic receptor AMPA type subunit 3(Gria3)in the hippocampus and downregulated the expression of the beta3-adrenergic receptor gene Adrb3 and arginine vasopressin receptor 1 A,Avprla in the middle cerebral artery-occluded rats.In the ipsilateral hippocampus,only Adra2 a was downregulated,and there was no significant change in Gria3.Transmission electron microscopy revealed a denser distribution the more distribution of postsynaptic glutamate receptor 2/3,which is an a-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid receptor,within 240 nm of the postsynaptic density in the contralateral cornu ammonis 3 region.The size and distribution of the synaptic vesicles within 100 nm of the presynaptic active zone were unchanged.Western blot analysis showed that modified constraint-induced movement therapy also increased the expression of glutamate receptor 2/3 and brain-derived neurotrophic factor in the hippocampus of rats with middle cerebral artery occlusion,but had no effect on Synapsin I levels.Besides,we also found modified constraint-induced movement therapy effectively reduced glutamate content in the contralateral hippocampus.This study demonstrated that modified constraint-induced movement therapy is an effective rehabilitation therapy in middle cerebral artery-occluded rats,and suggests that these positive effects occur via the upregulation of the postsynaptic membrane a-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid receptor expression.This study was approved by the Institutional Animal Care and Use Committee of Fudan University,China(approval No.201802173 S)on March 3,2018. 展开更多
关键词 BRAIN-DERIVED neurotrophic factor glutamate HIPPOCAMPUS m CIMT middle cerebral artery occlusion MODIFIED constraint-induced movement therapy α-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid receptor
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神经激肽1受体拮抗剂联合5-羟色胺3受体拮抗剂、地塞米松预防HEC相关性恶心呕吐的有效性预测模型研究
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作者 张靖悦 张涵煦 +4 位作者 杨翀 孙银娟 钟殿胜 张琳琳 袁恒杰 《中国药房》 北大核心 2026年第2期220-225,共6页
目的构建一种基于可解释深度学习的预测模型,用于评估三联止吐方案(神经激肽1受体拮抗剂+5-羟色胺3受体拮抗剂+地塞米松)预防高致吐性化疗(HEC)相关性恶心呕吐的有效性。方法回顾性收集2018年1月至2022年12月就诊于天津医科大学总医院... 目的构建一种基于可解释深度学习的预测模型,用于评估三联止吐方案(神经激肽1受体拮抗剂+5-羟色胺3受体拮抗剂+地塞米松)预防高致吐性化疗(HEC)相关性恶心呕吐的有效性。方法回顾性收集2018年1月至2022年12月就诊于天津医科大学总医院肿瘤科接受HEC且采用三联止吐方案的癌症患者的临床数据,整合人口学、临床及代谢等相关变量,数据预处理后,分别采用深度随机森林和全连接神经网络2种深度学习算法以及4种机器学习算法(支持向量机、分类提升、随机森林、决策树)构建预测模型,并进行模型性能评估和模型可解释性分析。结果6种模型中,深度随机森林模型在测试集中表现出最优预测性能,受试者工作特征曲线下面积为0.850,准确率为0.911,精确率为0.805,召回率为0.783,F1值为0.793,Brier评分为0.075。该模型可解释性分析结果表明,肌酐清除率(Ccr)为关键预测因子,低Ccr水平、女性、低龄患者、高致吐性药物(特别是含顺铂化疗方案)、存在预期性恶心呕吐与HEC相关性恶心呕吐的发生风险呈正相关。结论深度随机森林模型在预测三联止吐方案预防HEC相关性恶心呕吐的有效性方面表现最优,该模型关键预测因子以Ccr、预期性恶心呕吐、性别、年龄、高致吐性药物为主。 展开更多
关键词 1 5-3
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运动性和病理性心脏肥大模型小鼠的差异蛋白质组学分析
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作者 秦娣 秦学林 +4 位作者 李竹 叶家驰 陈淦 林毅 彭勇 《中国组织工程研究》 北大核心 2026年第28期7287-7296,共10页
背景:将运动性心脏肥大的机制造福病理性心脏肥大患者,是当前心血管研究的热点领域之一,然而,运动性和病理性心脏肥大两者差异的分子机制尚未完全阐明。目的:以运动性和病理性心脏肥大模型小鼠为研究对象,基于心脏蛋白质组学寻找病理性... 背景:将运动性心脏肥大的机制造福病理性心脏肥大患者,是当前心血管研究的热点领域之一,然而,运动性和病理性心脏肥大两者差异的分子机制尚未完全阐明。目的:以运动性和病理性心脏肥大模型小鼠为研究对象,基于心脏蛋白质组学寻找病理性心脏肥大的潜在干预靶点。方法:将21只6-8周龄雄性C57BL/6J小鼠随机分为对照组、运动组和异丙肾上腺素组,每组7只。运动组小鼠持续训练8周建立运动性心脏肥大模型,异丙肾上腺素组小鼠皮下注射异丙肾上腺素7 d建立病理性心脏肥大模型,通过心脏质量指数、心胫比、苏木精-伊红染色、麦胚芽凝集素染色和天狼星红染色验证造模成功后,应用串联质量标签技术揭示2种不同心脏肥大模型的差异蛋白表达水平和功能特征。结果与结论:①与对照组相比,运动组与异丙肾上腺素组小鼠的心脏质量指数和心胫比显著升高(P<0.001,P<0.05);与对照组相比,异丙肾上腺素组小鼠心肌细胞排列紊乱,观察到大量炎症细胞浸润,心肌细胞损伤明显;②与对照组相比,运动组与异丙肾上腺素组小鼠的心肌细胞横截面积显著增加(P<0.05,P<0.01);异丙肾上腺素组心肌纤维化面积显著高于对照组(P<0.01);③运动组和对照组相比,有46个差异表达蛋白;异丙肾上腺素组和对照组相比,有302个差异表达蛋白;运动组和异丙肾上腺素组相比,有340个差异表达蛋白;3个比较组差异表达蛋白中,2个交集蛋白为过氧化物酶酰基辅酶A氧化酶1和半乳糖凝集素3;④基因本体和京都基因与基因组百科全书富集分析提示,运动可能通过上调过氧化物酶酰基辅酶A氧化酶1促进脂肪酸代谢等诱导心脏生理性肥大,异丙肾上腺素可能通过下调过氧化物酶酰基辅酶A氧化酶1导致过氧化物酶体失调引发脂毒性等诱导心脏病理性肥大。结果提示:过氧化物酶酰基辅酶A氧化酶1和半乳糖凝集素3可能成为病理性心脏肥大的干预靶点。 展开更多
关键词 A1 3
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白细胞介素-35基因多态性与感染性疾病的关系
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作者 谭婧(综述) 向瑜(审校) 《检验医学与临床》 2026年第1期127-132,共6页
白细胞介素(IL)-35是新发现的细胞因子,作为IL-12家族成员之一,由Epstein-Barr病毒诱导的基因3亚基及IL-12A亚基构成,在抗炎、调节T细胞功能、免疫抑制和维持免疫耐受中发挥重要作用。有研究发现IL-35在多种感染性疾病中表达异常,IL-35... 白细胞介素(IL)-35是新发现的细胞因子,作为IL-12家族成员之一,由Epstein-Barr病毒诱导的基因3亚基及IL-12A亚基构成,在抗炎、调节T细胞功能、免疫抑制和维持免疫耐受中发挥重要作用。有研究发现IL-35在多种感染性疾病中表达异常,IL-35的单核苷酸多态性可通过影响IL-35水平,在感染性疾病的易感性、病程进展及预后中发挥作用。特定的单核苷酸多态性位点可能改变IL-35的表达或功能,从而影响个体对病毒、细菌等病原体的免疫应答。该文就近年来IL-35的基因多态性与新型冠状病毒感染、乙型病毒性肝炎、丙型病毒性肝炎、肺结核等感染性疾病相关性的研究进行综述,探讨IL-35在疾病发生和发展中的作用,为感染性疾病的临床治疗提供理论依据和潜在靶点。 展开更多
关键词 -35 Epstein-Barr3 -12A
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Serum immune-activation potency and response to anti-TNF-α therapy in Crohn's disease 被引量:1
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作者 Hanne Rintamki Taina Sipponen +2 位作者 Harri M Salo Outi Vaarala Kaija-Leena Kolho 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第46期5845-5851,共7页
AIM:To study whether immune-activation stage in serum of adult Crohn's disease (CD) patients correlates with disease activity and with treatment response to antitumor necrosis factor-α (TNF-α) therapy.METHODS:Se... AIM:To study whether immune-activation stage in serum of adult Crohn's disease (CD) patients correlates with disease activity and with treatment response to antitumor necrosis factor-α (TNF-α) therapy.METHODS:Serum samples were obtained from 15 adult CD patients introduced to anti-TNF-α therapy.The individual stage of immune activation was studied applying our new in vitro assay,in which target cells (donor derived peripheral blood mononuclear cells) were cultured with patient serum and the T-cell activation induced by the patient serum was studied using a panel of markers for effector [interferon γ (IFNγ),interleukin (IL)-5] and regulatory T-cells [forkhead transcription factor 3 (FOXP3) and glucocorticoid-induced tumour necrosis factor receptor (GITR)].The endoscopic disease activity was assessed with the Crohn's disease endoscopic index of severity (CDEIS) before and 3 mo after therapy with an anti-TNF-α agent.RESULTS:Low induction of FOXP3 and GITR in target cells cultured in the presence of patient serum was associated with high disease activity i.e.CDEIS assessed before therapy (r=-0.621,P=0.013 and r=-0.625,P=0.013,respectively).FOXP3 expression correlated inversely with pre-treatment erythrocyte sedimentation rate (r=-0.548,P=0.034).Low serum induced FOXP3 (r=-0.600,P=0.018) and GITR (r=-0.589,P=0.021) expression and low IFNγ secretion from target cells (r =-0.538,P=0.039) associated with treatment response detected as a decrease in CDEIS.CONCLUSION:The immune-activation potency in the patient serum prior to anti-TNF-α therapy reflected intestinal inflammation and the therapeutic response. 展开更多
关键词 Crohns DISEASE endoscopic index of severity FORKHEAD transcription FACTOR 3 Glucocorticoid-induced tumour necrosis FACTOR receptor INFLIXIMAB Inflammatory bowel DISEASE
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Ribavirin contributes to eradicate hepatitis C virus through polarization of T helper 1/2 cell balance into T helper 1 dominance 被引量:6
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作者 Katsuhisa Nakatsuka Masanori Atsukawa +2 位作者 Masumi Shimizu Hidemi Takahashi Chiaki Kawamoto 《World Journal of Hepatology》 CAS 2015年第25期2590-2596,共7页
The mechanism of action of ribavirin(RBV) as an immunomodulatory and antiviral agent and its clinical significance in the future treatment of patients with hepatitis C virus(HCV) infection are reviewed.RBV up-regulate... The mechanism of action of ribavirin(RBV) as an immunomodulatory and antiviral agent and its clinical significance in the future treatment of patients with hepatitis C virus(HCV) infection are reviewed.RBV up-regulates type 1 and/or 2 cytokines to modulate the T helper(Th) 1/2 cell balance to Th1 dominance.Examination of co-stimulatory signaling indicated that RBV down-modulates inducible co-stimulator on Th cells,which contributes to differentiating na?ve Th cells into Th2 cells while reducing their interleukin-10 production.The effects on T-regulatory(Treg) cells were also investigated,and RBV inhibited the differentiation of na?ve Th cells into adaptive Treg cells by downmodulating forkhead box-P3.These findings indicate that RBV mainly down-regulates the activity of Th2 cells,resulting in the maintenance of Th1 activity that contributes to abrogating HCV-infected hepatocytes.Although an interferon-free treatment regimen exhibits almost the same efficacy without serious complications,regimens with RBV will be still be used because of their ability to facilitate the cellular immune response,which may contribute to reducing the development of hepatocellular carcinogenesis in patients infected with HCV. 展开更多
关键词 RIBAVIRIN FORKHEAD box-P3 T HELPER 1/2cell BALANCE T-regulatory lymphocytes INDUCIBLE costimulator INTERLEUKIN-10 Hepatitis C virus infection
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光诱导三氯化铈催化构建碳-碳键的研究进展
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作者 庄元凯 安江振 +4 位作者 李昊聪 孙凯 李祥飞 侯立芬 於兵 《化学试剂》 2026年第2期1-8,共8页
可见光诱导的三氯化铈(CeCl_(3))催化作为一种绿色合成策略,因其反应条件温和、原子经济性高,且环境友好,近年来在碳-碳键构筑领域受到广泛关注。CeCl_(3)凭借其优异的光反应活性与独特的配体-金属电荷转移(LMCT)特性,为惰性化学键的活... 可见光诱导的三氯化铈(CeCl_(3))催化作为一种绿色合成策略,因其反应条件温和、原子经济性高,且环境友好,近年来在碳-碳键构筑领域受到广泛关注。CeCl_(3)凭借其优异的光反应活性与独特的配体-金属电荷转移(LMCT)特性,为惰性化学键的活化提供了新途径。综述了近年来可见光驱动下CeCl_(3)催化构建碳-碳键的研究进展,总结了C—H键直接官能团化、醇的脱羟基转化以及羧酸的脱羧偶联3类代表性反应。在C—H键官能团化中,CeCl_(3)通过LMCT过程实现惰性C—H键的活化,避免了预官能团化步骤;醇的脱羟基转化,利用光催化下烷氧自由基的β切断,生成相应的烷基自由基;羧酸的脱羧偶联则通过可见光诱导CeCl_(3)催化脱羧反应,进而发生后续偶联。这些反应体系均表现出良好的底物普适性和官能团兼容性,为复杂有机分子的合成提供了新策略。CeCl_(3)作为一种廉价、储量丰富的稀土催化剂,在光催化有机合成领域展现出广阔的应用前景,其独特的LMCT活化机制为发展绿色、高效的合成方法提供了重要思路,在药物合成和材料科学等领域具有重要应用价值。 展开更多
关键词 (CeCl_(3)) - (LMCT)
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Functional and molecular mechanism of intracellular pH regulation in human inducible pluripotent stem cells 被引量:1
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作者 Shih-Chi Chao Gwo-Jang Wu +6 位作者 Shu-Fu Huang Niann-Tzyy Dai Hsu-Kai Huang Mei-Fang Chou Yi-Ting Tsai Shiao-Pieng Lee Shih-Hurng Loh 《World Journal of Stem Cells》 SCIE CAS 2018年第12期196-211,共16页
AIM To establish a functional and molecular model of the intracellular pH(pH_i) regulatory mechanism in human induced pluripotent stem cells(hiPSCs).METHODS hiP SCs(HPS0077) were kindly provided by Dr. Dai from the Tr... AIM To establish a functional and molecular model of the intracellular pH(pH_i) regulatory mechanism in human induced pluripotent stem cells(hiPSCs).METHODS hiP SCs(HPS0077) were kindly provided by Dr. Dai from the Tri-Service General Hospital(IRB No. B-106-09). Changes in the pH_i were detected either by microspectrofluorimetry or by a multimode reader with a pH-sensitive fluorescent probe, BCECF, and the fluorescent ratio was calibrated by the high K^+/nigericin method. NH_4Cl and Na-acetate prepulse techniques were used to induce rapid intracellular acidosis and alkalization, respectively. The buffering power(β) was calculated from the ΔpH_i induced by perfusing different concentrations of(NH_4)_2SO_4. Western blot techniques and immunocytochemistry staining were used to detect the protein expression of pH_i regulators and pluripotency markers.RESULTS In this study, our results indicated that(1) the steadystate pH_i value was found to be 7.5 ± 0.01(n = 20) and 7.68 ± 0.01(n =20) in HEPES and 5% CO_2/HCO_3^- buffered systems, respectively, which were much greater than that in normal adult cells(7.2);(2) in a CO_2/HCO_3^--buffered system, the values of total intracellular buffering power(β) can be described by the following equation: β_(tot) = 107.79(pH_i)~2-1522.2(pH_i) + 5396.9(correlation coefficient R^2 = 0.85), in the estimated pH_i range of 7.1- 8.0;(3) the Na^+/H^+ exchanger(NHE) and the Na^+/HCO_3^- cotransporter(NBC) were found to be functionally activated for acid extrusion for pHi values less than 7.5 and 7.68, respectively;(4) V-ATPase and some other unknown Na^+-independent acid extruder(s) could only be functionally detected for pHi values less than 7.1;(5) the Cl^-/OH^- exchanger(CHE) and the Cl^- /HCO_3 anion exchanger(AE) were found to be responsible for the weakening of intracellular proton loading;(6) besides the CHE and the AE, a Cl^--independent acid loading mechanism was functionally identified; and(7) in hiPSCs, a strong positive correlation was observed between the loss of pluripotency and the weakening of the intracellular acid extrusion mechanism, which included a decrease in the steady-state pH i value and diminished the functional activity and protein expression of the NHE and the NBC.CONCLUSION For the first time, we established a functional and molecular model of a pHi regulatory mechanism and demonstrated its strong positive correlation with hiPSC pluripotency. 展开更多
关键词 MICROSPECTROFLUORIMETRY HUMAN induced pluripotent stem cells Na^%PLUS%/H^%PLUS%exchanger Na^%PLUS%/HCO3^-cotransporter Cl^-/OH^-exchanger Cl^-/HCO3^-exchanger V-ATPase INTRACELLULAR buffering power INTRACELLULAR pH BCECF
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Effects of grain interfacial morphologies on microbially induced calcium carbonate precipitation process:Experimental evidence and numerical analysis
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作者 Hao Liu Chao-Sheng Tang +5 位作者 Chao Lv Xiaohua Pan Zhixiong Zeng Zhengtao Shen Qing Cheng Baojun Wang 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1541-1551,共11页
Microbially induced calcium carbonate precipitation(MICP)is an eco-friendly technology for soil improvement.Although numerous experiments have been conducted to solidify sand foundations using MICP,the mechanisms by w... Microbially induced calcium carbonate precipitation(MICP)is an eco-friendly technology for soil improvement.Although numerous experiments have been conducted to solidify sand foundations using MICP,the mechanisms by which grain interfacial morphologies influencethe MICP process remain unclear.This study utilized 3D-printed flowcells with different boundary morphologies to investigate the effects of interfacial morphologies on the MICP process.CaCO_(3)precipitation characteristics were investigated through microscopic observation and image quantificationanalysis.The results indicate that low flowvelocities near the interface promote bacterial accumulation due to reduced hydrodynamic shear forces.Rough interfaces,compared to smooth ones,enhance bacterial adsorption owing to the larger regions of low flowvelocity,increased surface area,and the formation of local eddies,which promote greater CaCO_(3)precipitation.Compared to the regions away from the interface,a higher abundance of small CaCO_(3)crystals is observed near the interface because of the high urease activity from bacteria and the reduced shear-induced entrainment due to the low flowvelocity.Besides,larger crystals also preferentially precipitate in proximity to interfaces as the low flowvelocity enhances crystal growth according to the particle attachment theory.The presence of rough interfaces further reduces flowvelocities,leading to the precipitation of larger and more densely packed CaCO_(3)crystals.Therefore,rough interfaces promote the microbially induced calcium carbonate precipitation.This work is expected to enhance the understanding of microbially induced calcium carbonate precipitation characteristics on solid surfaces such as soil grains and contribute to the optimization of MICP applications. 展开更多
关键词 Microbially induced calcium carbonate precipitation(MICP) Interfacial morphology Rough surfaces CaCO_(3)distribution Microscopic observation
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IFIT3介导线粒体活性氧通路在脓毒症急性期突触损伤中的作用
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作者 韩晓曼 周游 +7 位作者 雷一鸣 杜佳敏 李婧 罗梓茜 程利 严娟娟 魏捷 周晨亮 《中国急救医学》 2026年第2期92-99,共8页
目的明确脓毒症相关脑病(sepsis-associated encephalopathy,SAE)急性期(发病6 h)海马突触损伤的关键分子及其作用机制,阐释脓毒症认知障碍(sepsis-induced cognitive impairment,SICI)的早期神经元损伤途径。方法采用蛋白质组学对脂多... 目的明确脓毒症相关脑病(sepsis-associated encephalopathy,SAE)急性期(发病6 h)海马突触损伤的关键分子及其作用机制,阐释脓毒症认知障碍(sepsis-induced cognitive impairment,SICI)的早期神经元损伤途径。方法采用蛋白质组学对脂多糖(lipopolysaccharide,LPS)处理6 h后小鼠海马组织进行差异蛋白筛查并确定候选靶点,在体外构建干扰素诱导蛋白含四肽重复序列3(interferon-induced protein with tetratricopeptide repeats 3,IFIT3)过表达的HT22神经元细胞模型,分为对照组、LPS组、IFIT3过表达组、LPS+IFIT3组、Visomitin预处理组及CY-09共处理组6组。检测线粒体活性氧(mitochondrial reactive oxygen species,mtROS)水平、白细胞介素-1β(IL-1β)释放及突触后致密蛋白95(postsynaptic density protein 95,PSD95)和突触素(synaptophysin,SYN)表达变化。结果LPS处理6 h后小鼠海马中IFIT3表达显著上调。在炎症背景下,IFIT3过表达进一步促进mtROS积累,增强IL-1β释放,并导致PSD95和SYN表达下降。上游清除mtROS的Visomitin能够显著改善突触蛋白丢失,其保护效应优于单纯阻断NOD样受体家族含pyrin结构域蛋白3(NOD-like receptor family pyrin domain containing 3,NLRP3)活化的CY-09。结论IFIT3在炎症背景下参与并放大急性期海马突触损伤过程,其效应与mtROS-NLRP3炎症小体相关级联激活密切相关,提示急诊脓毒症早期脑保护策略中,早期上游靶向mtROS的脑保护策略可能优于单点抑制NLRP3。 展开更多
关键词 3 线
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IFITM3在RNA病毒感染中的双向调控作用研究进展
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作者 赵海宁 李连民 +4 位作者 常益铭 魏敬浩 付淳 郭永丽 高明春 《中国畜牧兽医》 北大核心 2026年第3期1091-1101,共11页
干扰素诱导的跨膜蛋白3(IFITM3)作为宿主先天免疫系统的关键分子,在多种RNA病毒的感染过程中发挥着广泛作用。IFITM3在抗病毒防御中具有病毒类型与宿主背景依赖性的双向调控特性:其既能通过阻断病毒入侵、抑制病毒复制发挥防御功能,又... 干扰素诱导的跨膜蛋白3(IFITM3)作为宿主先天免疫系统的关键分子,在多种RNA病毒的感染过程中发挥着广泛作用。IFITM3在抗病毒防御中具有病毒类型与宿主背景依赖性的双向调控特性:其既能通过阻断病毒入侵、抑制病毒复制发挥防御功能,又能在特定条件下协助病毒实现免疫逃逸,从而促进病毒感染。在抗病毒机制方面,IFITM3通过多种途径抑制病毒复制:一是通过改变脂质分布延缓融合孔形成;二是借助自身的两亲性螺旋与胆固醇相互作用调节膜曲率,最终阻断病毒基因组的释放。此外,IFITM3还能在病毒感染早期抑制病毒转录水平,并可整合至病毒颗粒中削弱其与细胞膜的融合能力,展现出多阶段协同的抗病毒效应。在免疫逃逸机制中,IFITM3的作用同样具有多样性:一方面,其可通过诱导干扰素调节因子3(IRF3)自噬降解、抑制TBK1激酶活性来降低β-干扰素(IFN-β)的表达水平,为病毒逃逸创造条件;另一方面,其自身的翻译后修饰(如S-棕榈酰化、酪氨酸磷酸化等)可动态调控与细胞膜的锚定效率,进而增强病毒与细胞膜的融合能力,促进病毒入侵细胞。笔者系统梳理了IFITM3的结构特征、亚细胞定位及其调控机制,重点总结了其在RNA病毒感染中的抗病毒作用机制与促感染路径,深入探讨了其双向调控功能的分子基础及决定因素。通过整合多种病毒模型的研究结果,笔者进一步分析了IFITM3在动物病毒感染防控中的潜在应用价值,旨在为深入理解病毒与宿主的互作机制、开发新型抗病毒药物及揭示免疫逃逸机制提供参考。 展开更多
关键词 3(IFITM3) RNA
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从“病-证-方”关联视角探讨熟地强筋丸治疗激素性股骨头坏死的疗效特点和机制
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作者 陈志健 张苏雅 +7 位作者 丁龙龙 张桂鑫 刘博 宓保宏 张彦琼 林娜 陈卫衡 龚春柱 《中国实验方剂学杂志》 北大核心 2026年第2期88-99,共12页
目的:从“病-证-方”关联视角,探究熟地强筋丸干预激素性股骨头坏死(SONFH)肝肾亏虚证的功效内涵,并通过体内体外实验阐释其作用机制。方法:首先,从中药整合药理学计算平台(TCMIP)、中医药百科全书数据库(ETCM)、本草组鉴(HERB)数据库... 目的:从“病-证-方”关联视角,探究熟地强筋丸干预激素性股骨头坏死(SONFH)肝肾亏虚证的功效内涵,并通过体内体外实验阐释其作用机制。方法:首先,从中药整合药理学计算平台(TCMIP)、中医药百科全书数据库(ETCM)、本草组鉴(HERB)数据库收集熟地强筋丸复方所含中药的化学成分及其候选靶标信息。其次,对临床SONFH患者与健康志愿者外周血的转录组表达谱进行生物信息学数据挖掘,并整合TCMIP数据库中SONFH肝肾亏虚证相关基因,获得SONFH肝肾亏虚证的病证相关基因集。进而,构建“SONFH肝肾亏虚证相关基因-熟地强筋丸候选靶标”互作网络,通过网络拓扑特征值计算筛选核心网络靶标,并基于京都基因与基因组百科全书(KEGG)与中医证候本体及多维定量关联计算平台(SoFDA)进行通路富集分析与优势症状预测。在实验验证部分,采用脂多糖联合甲基泼尼松龙注射法建立SONFH大鼠模型,分别给予熟地强筋丸2.5、5、7.5 g·kg-(11次/d,分别相当于1、2、3倍临床等效剂量)与阿仑膦酸钠7.3×10-3 g·kg-(11次/周,相当于1倍临床等效剂量),连续灌胃8周,通过微型计算机断层扫描、苏木素-伊红染色、免疫组织化学染色、碱性磷酸酶(ALP)染色、酶联免疫吸附测定法(ELISA)与原位末端标记法(TUNEL)染色,观察熟地强筋丸干预SONFH的疗效特点。同时,采用地塞米松刺激成骨细胞制备SONFH细胞模型,同样给予上述3个剂量的熟地强筋丸含药血清进行干预,通过细胞增殖与活力检测、ALP染色、ALP活性检测、茜素红染色、流式细胞术等观察熟地强筋丸对成骨细胞的调节作用,并通过实时荧光定量聚合酶链式反应、蛋白免疫印迹法检测成骨相关蛋白质及目标信号轴关键因子的表达水平。结果:网络分析结果表明,熟地强筋丸候选靶标主要通过磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(Akt)、脂质与动脉粥样硬化、催乳素、趋化因子、神经营养因子等信号通路,显著参与肌肉与骨代谢、“神经-内分泌-免疫”网络等关键环节,改善SONFH肝肾亏虚证患者的骨骼成熟延迟、复发性骨折等现代医学症状与疲乏倦怠、畏寒肢冷、肢体骨节疼痛等中医症状。其中,以PI3K/Akt信号通路的富集程度最高。体内实验结果显示,自造模第4周起,接受造模组体质量较正常组显著降低(P<0.05);经灌胃6周后,与模型组比较,各剂量熟地强筋丸组体质量显著升高(P<0.01)。与正常组比较,股骨头组织骨密度(BMD)、骨体积分数(BV/TV)、骨小梁数目(Tb.N)、骨钙素(OCN)、ALP与血液中骨特异性碱性磷酸酶(BALP)含量显著降低(P<0.01),骨小梁分离度(Tb.Sp)、组织空骨陷窝率与细胞凋亡率显著升高(P<0.01)。与模型组比较,熟地强筋丸干预组BMD、BV/TV、Tb.N显著升高(P<0.01),Tb.Sp、空骨陷窝率、细胞凋亡率显著降低(P<0.05),OCN、ALP的蛋白质含量及BALP水平显著升高(P<0.05)。体外实验结果显示,各梯度熟地强筋丸含药血清对成骨细胞均无损伤作用;与正常组比较,模型组成骨细胞的增殖活性、ALP活性与钙化结节形成率显著降低(P<0.01),OCN、Runt相关转录因子2(RUNX2)的转录水平显著降低(P<0.01),骨桥素(OPN)、I型胶原蛋白A1(ColIA1)、B细胞淋巴瘤-2(Bcl-2)、PI3K与磷酸化(p)-Akt的蛋白质含量显著减少(P<0.01),细胞凋亡率显著升高(P<0.01)。与模型组比较,熟地强筋丸含药血清组的增殖活性、ALP活性、钙化结节形成率、OCN与RUNX2的转录水平、OPN、ColIA1、Bcl-2、PI3K与p-Akt的蛋白质含量均显著升高(P<0.05),细胞凋亡率显著降低(P<0.01)。结论:熟地强筋丸可有效减轻SONFH肝肾亏虚证的疾病严重程度、改善骨微结构,且疗效具有剂量依赖性。该方改善SONFH肝肾亏虚证的作用机制可能与其通过调节肌肉与骨代谢、矫正“神经-内分泌-免疫”网络失衡等关键环节,促进成骨细胞分化和抑制成骨细胞凋亡有关,其中PI3K/Akt信号轴可能是该方关键作用通路之一。 展开更多
关键词 -- 3-(PI3K)/B(Akt)
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血清IP-10、Gas6和CHI3L1联合检测诊断慢性乙型肝炎患者肝纤维化的价值
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作者 王立坤 李哲 +2 位作者 张萌 牛俊强 张晓虎 《检验医学》 2026年第1期14-19,共6页
目的探讨慢性乙型肝炎(CHB)患者血清γ-干扰素诱导蛋白10(IP-10)、生长停滞特异性基因产物6(Gas6)、壳多糖酶3样蛋白1(CHI3L1)水平及其临床意义。方法选取2022年5月—2024年5月南阳市中心医院CHB患者148例(CHB组)、健康体检者148名(正... 目的探讨慢性乙型肝炎(CHB)患者血清γ-干扰素诱导蛋白10(IP-10)、生长停滞特异性基因产物6(Gas6)、壳多糖酶3样蛋白1(CHI3L1)水平及其临床意义。方法选取2022年5月—2024年5月南阳市中心医院CHB患者148例(CHB组)、健康体检者148名(正常对照组)。根据肝脏炎症程度将CHB患者分为轻度炎症(G1~G2期)组(69例)和重度炎症(G3~G4期)组(79例)。根据肝纤维化程度将CHB患者分为显著性肝纤维化(S2~S4期)组(80例)和非显著性肝纤维化(S1期)组(68例)。收集所有研究对象的临床资料和肝功能指标[丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、总胆红素(TB)、白蛋白(Alb)]检测结果,同时检测血清IP-10、Gas6、CHI3L1水平。采用Spearman相关分析评估CHB患者IP-10、Gas6、CHI3L1水平与炎症程度和肝纤维化程度的相关性。采用多因素Logistic回归分析评估CHB患者发生显著性肝纤维化的影响因素。采用受试者工作特征(ROC)曲线评价IP-10、Gas6、CHI3L1判断CHB患者发生显著性肝纤维化的效能。结果CHB组ALT、AST、TB、IP-10、CHI3L1水平高于正常对照组(P<0.001),Alb、Gas6水平低于正常对照组(P<0.001)。重度炎症组血清IP-10、CHI3L1水平高于轻度炎症组(P<0.001),血清Gas6水平低于轻度炎症组(P<0.001)。显著性纤维化组血清IP-10、CHI3L1水平高于非显著性纤维化组(P<0.001),血清Gas6水平低于非显著性纤维化组(P<0.001)。CHB患者血清IP-10、CHI3L1与肝脏炎症程度、纤维化程度均呈正相关(P<0.05),血清Gas6与肝脏炎症程度、纤维化程度均呈负相关(P<0.05)。IP-10、CHI3L1升高和Gas6降低均是CHB患者发生显著性肝纤维化的危险因素[比值比(OR)值分别为5.832、4.774、0.467,95%可信区间(CI)分别为2.611~13.026、2.704~8.428、0.328~0.665,P<0.001]。血清IP-10、Gas6、CHI3L1单项检测和联合检测判断CHB患者发生显著性肝纤维化的曲线下面积(AUC)分别为0.818、0.822、0.734、0.918。结论血清IP-10、Gas6、CHI3L1联合检测对CHB患者显著性肝纤维化有较高的诊断价值,或可作为CHB患者肝纤维化程度的评估指标。 展开更多
关键词 γ-10 6 31
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电针对椎动脉型颈椎病家兔的治疗作用机制
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作者 刘芳 顾逸文 +1 位作者 方浩亮 杨雨烨 《世界中医药》 北大核心 2025年第3期399-403,410,共6页
目的:探讨电针通过兔磷酸肌醇3激酶(PI3K)/蛋白激酶B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR)对椎动脉型颈椎病(CSA)家兔的治疗作用。方法:将50只实验兔按随机数字表法分为正常对照组、模型对照组、电针组、磷酸肌醇3激酶抑制剂组、电针+磷... 目的:探讨电针通过兔磷酸肌醇3激酶(PI3K)/蛋白激酶B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR)对椎动脉型颈椎病(CSA)家兔的治疗作用。方法:将50只实验兔按随机数字表法分为正常对照组、模型对照组、电针组、磷酸肌醇3激酶抑制剂组、电针+磷酸肌醇3激酶抑制剂组,每组10只。对模型对照组、电针组、磷酸肌醇3激酶抑制剂组和电针+磷酸肌醇3激酶抑制剂组实验兔进行CSA模型制备。电针+磷酸肌醇3激酶抑制剂组、磷酸肌醇3激酶抑制剂组注射PI3K抑制剂Wortmannin(浓度24μg/kg);正常对照组与模型对照组仅给予相同固定;电针组和电针+磷酸肌醇3激酶抑制剂组给予电针“风池穴”,每天1次,连续治疗14 d。观察各组行为学变化,酶联免疫吸附试验(ELISA)法检测实验兔椎动脉PI3K、p-AKT、mTOR、低氧诱导因子(HIF-1α)、血管内皮生长因子(VEGF)水平。结果:正常对照组实验兔无明显行为学变化;模型对照组实验兔精神萎靡、缩肩拱背、食欲减退、活动减少;电针组、电针+磷酸肌醇3激酶抑制剂组实验兔精神萎靡、活动减少、缩肩拱背改善。与正常对照组比较,模型对照组、磷酸肌醇3激酶抑制剂组、电针+磷酸肌醇3激酶抑制剂组实验兔椎动脉PI3K、p-AKT、mTOR水平低(均P<0.01);与模型对照组比较,电针组实验兔椎动脉PI3K、p-AKT、mTOR水平高(均P<0.05);模型对照组、磷酸肌醇3激酶抑制剂组、电针+磷酸肌醇3激酶抑制剂组实验兔椎动脉PI3K、p-AKT、mTOR水平比较差异均无统计学意义(均P>0.05);与磷酸肌醇3激酶抑制剂组比较,电针+磷酸肌醇3激酶抑制剂组实验兔椎动脉PI3K、p-AKT、mTOR水平高(均P<0.05)。与正常对照组比较,模型对照组、磷酸肌醇3激酶抑制剂组实验兔椎动脉HIF-1α、VEGF水平低(均P<0.05);电针组、电针+磷酸肌醇3激酶抑制剂组实验兔椎动脉HIF-1α、VEGF水平与正常对照组比较差异均无统计学意义(均P>0.05);与模型对照组比较,正常对照组实验兔椎动脉HIF-1α、VEGF水平高(均P<0.05);电针组、磷酸肌醇3激酶抑制剂组、电针+磷酸肌醇3激酶抑制剂组实验兔椎动脉HIF-1α、VEGF水平与模型对照组比较差异均无统计学意义(均P>0.05);与磷酸肌醇3激酶抑制剂组比较,电针+磷酸肌醇3激酶抑制剂组实验兔椎动脉HIF-1α、VEGF水平高(均P<0.05)。结论:电针可通过激活PI3K/AKT/mTOR信号通路治疗CSA模型兔。 展开更多
关键词 3 B
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The Practice of Forward Prospecting of Adverse Geology Applied to Hard Rock TBM Tunnel Construction: The Case of the Songhua River Water Conveyance Project in the Middle of Jilin Province 被引量:30
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作者 Shucai Li Lichao Nie Bin Liu 《Engineering》 2018年第1期131-137,共7页
An increasing number of tunnels are being constructed with tunnel-boring machines (TBMs) due to the increased efficiency and shorter completion time resulting from their use. However, when a TBM encoun- ters adverse... An increasing number of tunnels are being constructed with tunnel-boring machines (TBMs) due to the increased efficiency and shorter completion time resulting from their use. However, when a TBM encoun- ters adverse geological conditions in the course of tunnel construction (e.g., karst caves, faults, or frac- tured zones), disasters such as water and mud inrush, collapse, or machine blockage may result, and may severely imperil construction safety. Therefore, the advance detection of adverse geology and water-bearing conditions in front of the tunnel face is of great importance. This paper uses the TBM tun- neling of the water conveyance project from Songhua River as a case study in order to propose a compre- hensive forward geological prospecting technical system that is suitable for TBM tunnel construction under complicated geological conditions. By combining geological analysis with forward geological prospecting using a three-dimensional (3D) induced polarization method and a 3D seismic method, a comprehensive forward geological prospecting technical system can accurately forecast water inrush geo-hazards or faults in front of the TBM tunnel face. In this way, disasters such as water and mud inrush, collapse, or machine blockage can be avoided. This prospecting technical system also has reference value for carrying out the forward prospecting of adverse geology for potential TBM tunneling and for ensuring that a TBM can work efficiently. 展开更多
关键词 Hard rock TBM TUNNELS Comprehensive FORWARD PROSPECTING Geological analysis3D induced polarization3D seismic methodAdverse GEOLOGY
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脓毒症诱导的心肌功能障碍:聚焦免疫代谢与细胞死亡机制的治疗新视角
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作者 刘源 梅建强 《中国急救医学》 2026年第3期176-180,共5页
脓毒症诱导的心肌功能障碍(SIMD)是导致脓毒症患者死亡的关键独立危险因素,其病理机制复杂,目前尚缺乏特异性临床治疗手段。现有研究揭示了SIMD的发生、发展与免疫识别异常—代谢重编程失调—程序性细胞死亡激活三者构成的恶性循环网络... 脓毒症诱导的心肌功能障碍(SIMD)是导致脓毒症患者死亡的关键独立危险因素,其病理机制复杂,目前尚缺乏特异性临床治疗手段。现有研究揭示了SIMD的发生、发展与免疫识别异常—代谢重编程失调—程序性细胞死亡激活三者构成的恶性循环网络密切相关。本研究系统阐述了SIMD过程中免疫代谢紊乱与不同类型细胞死亡之间相互作用的分子机制,重点关注细胞焦亡与铁死亡在其中的协同损伤作用,并综述了针对核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)炎症小体、铁死亡通路、线粒体功能及钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂等新型治疗策略的临床前证据与转化前景。此外,结合可溶性生长刺激表达基因2蛋白(sST2)、生长分化因子-15(GDF-15)等新型循环标志物与斑点追踪超声(STE)等影像学技术的进展,进一步探讨SIMD精准分型与个体化治疗的未来发展方向,深入解析并靶向干预免疫—代谢—细胞死亡这一恶性网络,以期能够为突破SIMD的治疗困境提供新的理论依据与临床策略。 展开更多
关键词 3
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